Case Description: We present a 32-year-old pregnant woman, with a history of laparoscopic adjustable gastric banding, who presented with complaints of persistent nausea and vomiting causing significant weight loss. She was treated with intravenous hydration and antiemetic medication. After 3 days of in-hospital treatment, she was discharged home after resolution of symptoms. She then returned to the hospital with severe abdominal pain. The fetal heart tones were lost, and she delivered a stillborn fetus. Radiologic testing suggested abdominal hollow organ perforation, and the patient was taken to the operating room. Diagnostic laparoscopy discovered a prolapsed gastric band causing obstruction and an anterior gastric perforation proximal to the band. The perforation was repaired primarily, and an omental patch was used as a buttress.